Organization Active NPI

Mahant Dental PLLC

  • Dental Clinic/Center
  • Moore, OK
National Provider Identifier
1073382651
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MAHANT DENTAL PLLC
Practice address
1112 SW 30TH CT Ste 105
Moore, OK 73160-2888
Phone
(405) 979-0511
NPI assigned
Dec 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arth Patel, DDSNPI 1508418344
Title
Owner
Phone
(405) 979-0511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1112 SW 30TH CT Ste 105
Moore, OK 73160-2888

Mailing address

1112 SW 30TH CT Ste 105
Moore, OK 73160-2888
Phone (405) 979-0511

National Provider Directory

National Provider Directory

Locations

1112 SW 30th Ct
Ste 105
Moore, OK 73160
Phone (405) 977-4238

1112 SW 30th Ct
#B
Moore, OK 73160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1073382651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SW 30TH CT STE 105",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602888",
            "telephone_number": "405-979-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SW 30TH CT STE 105",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602888",
            "telephone_number": "405-979-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHANT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ARTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-979-0511",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.